SAMUEL S SUK (NPI# 1518028976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518028976 |
| Entity Type | Individual |
| Full Name | SAMUEL S SUK |
| Credential | MD |
| Practice Address |
1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 |
| Practice Telephone | (503) 708-0523 |
| Practice Fax Number | 8448131588 |
| Mailing Telephone | (503) 708-0523 |
| Mailing Fax Number | 8448131588 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2017-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD21879 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 134227 | 05 | |
| OR | 500692661 | 05 |
| Street Address |
1500 NW BETHANY BLVD STE 200 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-5236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992190292 | Samuel Suk, Md, PC | Family Medicine | 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 | 2015-04-02 |
| 1275819351 | Yora, LLC | Massage Therapist | 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 | 2011-11-02 |
| 1225314792 | Lydia C Warner | Nurse Practitioner | 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 | 2011-10-28 |
| 1386942191 | Matrix Medical Network of Oregon, L.L.C. | Nurse Practitioner | 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 | 2011-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992190292 | Samuel Suk, Md, PC | Family Medicine | 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 | 2015-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811257124 | Hpa Housecall PC | Family Medicine | 6975 Sw Sandburg St Ste 190, Portland, OR 97223-8136 | 2012-05-21 |
| 1023226271 | River Medical Clinic PC | Family Medicine | 13021 Se River Rd, Portland, OR 97222-8062 | 2007-05-20 |
| 1366589905 | Bruce W Duffy | Family Medicine | 4182 Vitae Springs Rd S, Salem, OR 97306-9705 | 2007-01-31 |
| 1982774543 | Harry S Krulewitch, Md PC | Family Medicine | 4838 Sw Scholls Ferry Rd, Portland, OR 97225-1629 | 2006-11-09 |
| 1225117625 | Barbara Ellen Moore | Family Medicine | 4311 Melqua Rd, Roseburg, OR 97470-8953 | 2006-11-04 |
| 1215953724 | Howard M Graitzer | Family Medicine | 6808 Se 28th Ave, Portland, OR 97202-8705 | 2006-07-15 |
| 1598799553 | Harry Scott Krulewitch | Family Medicine | 1101 Sw Coronado St, Portland, OR 97219-7625 | 2006-07-10 |
| 1578508214 | Natasa Petrac | Family Medicine | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 | 2006-06-17 |
| 1043838519 | Mid-valley Healthcare, Inc. | Family Medicine | 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 | 2020-07-10 |
| 1962975284 | Rachel Marie Nolan | Family Medicine | 10330 Se 32nd Ave Ste 110, Milwaukie, OR 97222-6596 | 2019-01-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.